Individual
JAMUNA D RAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
611 S CARLIN SPRINGS RD, SUITE # 501, ARLINGTON, VA 22204-1064
(703) 861-8722
(703) 485-1179
Mailing address
6508 DEARBORN DR, FALLS CHURCH, VA 22044-1115
(703) 861-8722
(703) 485-1179
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101236470
VA
2084P0802X
Addiction Psychiatry Physician
0101236470
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF3642
MEDICARE RAILROAD
—
01
—
I25348
UPIN
VA
Enumeration date
08/15/2007
Last updated
12/20/2008
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